The parent of a child diagnosed with acute kidney injury (AKI) asks the nurse why peritoneal dialysis was selected instead of hemodialysis. Which is the nurse's best response?

"Peritoneal dialysis is much more efficient than hemodialysis."

"Peritoneal dialysis has no complications, so it is a treatment used without hesitation."

"Peritoneal dialysis removes fluid at a slower rate than hemodialysis, so many complications are avoided."

"Hemodialysis is not used in the pediatric population."

Answer and Explanation

The Correct Answer is C

A. Peritoneal dialysis is not more efficient than hemodialysis; it is slower, which can help reduce complications in pediatric clients.

B. Peritoneal dialysis does have potential complications, such as infection, but these are generally fewer than those associated with hemodialysis in children.

C. Peritoneal dialysis removes fluid at a slower rate, making it a better option for children, as it is less likely to cause sudden fluctuations in blood pressure or other complications.

D. Hemodialysis is used in the pediatric population, but peritoneal dialysis is often preferred in certain cases due to its lower complication rates and more gradual effect.

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Correct Answer is ["B","C","D"]

Explanation

A. A tongue depressor should never be placed in the mouth during a seizure, as it can cause injury or choking.

B. Placing the client in a side-lying position helps protect the airway and prevents aspiration.

C. Assessing the airway patency is a priority to ensure the child can breathe during the seizure.

D. Removing objects from the bed helps prevent injury during the seizure.

E. Restraining the child is dangerous and should not be done, as it can increase the risk of injury.

A. Irritability B. Yellow nasal discharge C. Facial edema D. Poor appetite

Correct Answer is C

Explanation

A. Irritability is common in nephrotic syndrome due to discomfort and illness but is not as urgent as severe edema.

B. Yellow nasal discharge is likely due to a concurrent cold and not a critical finding.

C. Facial edema can be a sign of worsening nephrotic syndrome and should be reported to the provider, as it can indicate fluid retention or complications.

D. Poor appetite is common in nephrotic syndrome but does not require immediate reporting unless there are other signs of deterioration.

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The parent of a child diagnosed with acute kidney injury (AKI) asks the nurse why peritoneal dialysis was selected instead of hemodialysis. Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should expect the patient to be placed on which of the following diets?

A nurse is preparing to obtain a urine sample from a 7-month-old client. Which of the following collection methods should the nurse identify as yielding the most reliable urinalysis and urine culture results?

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

Which is prescribed for the therapeutic management of minimal change nephrotic syndrome?

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?

The nurse is caring for a child with Acute Renal Failure. Which clinical manifestation would the nurse recognize as a sign of hyperkalemia?